Organization
FORT TRYON OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIOUDMILA SAPERSON (PRESIDENT)
(212) 304-3585
Entity
Organization
Contact information
Practice address
4530 BROADWAY, NEW YORK, NY 10040-2429
(212) 304-3585
Mailing address
4530 BROADWAY, NEW YORK, NY 10040-2429
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T045261
NY
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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